Key result
In elderly patients requiring prolonged surgical intensive care, pneumonia was an independent predictor of mortality (OR 3.01), and long-term survivors experienced considerably lower physical quality of life compared to the general elderly population.
Cohort (n=314)
No
Elderly patients requiring prolonged surgical intensive care have high mortality driven by pre-existing comorbidities and complications, and survivors experience significantly impaired physical quality of life.
Answers are grounded in this paper and cite their sources.
Pneumonia surveillance may be warranted in elderly prolonged surgical ICU patients; leaves open whether targeted interventions improve survivor physical QoL.
Background: Treatment of elderly patients on intensive care units is an increasing challenge all over the world. Objectives: To evaluate short- term survival and long-term quality of life im-plications of intensive care for the elderly. Methods: Retrospective analysis of 314 patients 75 years of age or more requiring over 48 hours of intensive care. Results: In multivariate analy-sis, significant risk factors for mortality were chronic renal impairment (OR for survival .30, p 24 h (OR 4.5), hemodialysis (OR 6.8), and vasopressor therapy (OR 2.5, p < 0.001 for each). A health survey questionnaire in an up to 60-month follow-up of 28 patients revealed considerably lower physi-cal subscores of our patients compared to the general elderly population. Conclusions: Elderly patients benefit from intensive care in terms of survival. Complications are frequent, as are severe consequences for long-term quality of life. Short-term mortality in elderly intensive care patients correlates most closely to pre- existing disease, not age.
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Utzolino et al. (2010) conducted a cohort in Elderly patients requiring prolonged surgical intensive care (n=314). Pneumonia during ICU stay vs. No pneumonia was evaluated on Mortality (OR 3.01, p=<0.001). In elderly patients requiring prolonged surgical intensive care, pneumonia was an independent predictor of mortality (OR 3.01), and long-term survivors experienced considerably lower physical quality of life compared to the general elderly population.
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